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PROMONTORY PSYCHOTHERAPY INC NPI 1831838804


NPI Information

NPI: 1831838804
Provider Name: PROMONTORY PSYCHOTHERAPY INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5300 S SHORE DR STE 201
CHICAGO, IL
ZIP 60615
Phone: (708) 320-1828
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PROMONTORY PSYCHOTHERAPY INC is a clinical social worker in Chicago, IL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PROMONTORY PSYCHOTHERAPY INC NPI is 1831838804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5300 S SHORE DR STE 201
CHICAGO, IL
ZIP 60615-777
Phone: (708) 320-1828

The provider's authorized official is Mallory Price .
The authorized official title is Clinical Director and has the following contact phone number (708) 320-1828.

The enumeration date for this NPI number is 5/30/2022 and was last updated on 1/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083085963OTHERILLINOISNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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